From the Journals

Many Patients With Cancer Visit EDs Before Diagnosis


 

FROM CMAJ

‘Unpacking the Data’

The current findings also are consistent with those of an International Cancer Benchmarking Partnership study that was published in 2022 in The Lancet Oncology, said Erika Nicholson, MHS, vice president of cancer systems and innovation at the Canadian Partnership Against Cancer. The latter study analyzed cancer registration and linked hospital admissions data from 14 jurisdictions in Australia, Canada, Denmark, New Zealand, Norway, and the United Kingdom.

“We see similar trends in terms of people visiting EDs and being diagnosed through EDs internationally,” Nicholson said. “We’re working with partners to put in place different strategies to address the challenges” that this phenomenon presents in terms of improving screening and follow-up care.

“Cancer is not one disease, but many diseases,” she said. “They present differently. We’re focused on really unpacking the data and understanding them.”

All this research highlights the need for more services and personnel to address cancer, including people who are trained to help patients cope after getting concerning news through emergency care, she said.

“That means having a system that fully supports you and helps you navigate through that diagnostic process,” Nicholson said. Addressing the added challenges for patients who don’t have secure housing is a special need, she added.

This study was supported by the Canadian Institutes of Health Research (CIHR). Grewal reported receiving grants from CIHR and the Canadian Association of Emergency Physicians. Nicholson reported no relevant financial relationships.

A version of this article appeared on Medscape.com.

Pages

Recommended Reading

Doc accused of killing 14 patients found not guilty
MDedge Emergency Medicine
Three symptoms suggest higher risk for self-injury in cancer
MDedge Emergency Medicine
Cancer patients unaware of their increased thrombosis risk
MDedge Emergency Medicine
How to manage drug interactions with Paxlovid for COVID-19
MDedge Emergency Medicine
CV admissions on the rise in Americans with cancer
MDedge Emergency Medicine
Hiccups in patients with cancer often overlooked, undertreated
MDedge Emergency Medicine
Patient safety in hospitals improved in past decade: Report
MDedge Emergency Medicine
Over half of ED visits from cancer patients could be prevented
MDedge Emergency Medicine
COVID can mimic prostate cancer symptoms
MDedge Emergency Medicine
Patient Navigators for Serious Illnesses Can Now Bill Under New Medicare Codes
MDedge Emergency Medicine